Deck 22: Rural Health and Migrant Health

Question 1

An employer provides a migrant farm family the day off to visit the health clinic in a nearby community and tells them to take all of the time they need. However, the family arrives at the clinic appearing very stressed. In addition to the health issue, which of the following would most likely be a fear experienced by the family?

A)Their personal belongings may be stolen while they are at the clinic.
B)Immigration officials will send them back to their home country.
C)The clinic personnel will look down on them and be biased against them.
D)They weren't getting paid for that day, and continued employment is never certain.

Answer 1

They weren't getting paid for that day, and continued employment is never certain.

Question 2

A nurse is implementing a tertiary prevention strategy related to pesticide exposure. Which of the following activities would the nurse complete?

A)Observe farmworkers for evidence of unsafe handling of pesticides.
B)Provide teaching on how to handle pesticides to avoid or decrease exposure.
C)Teach farmworkers how to recognize signs and symptoms of pesticide poisoning.
D)Treat a client who has pesticide exposure to prevent complications.

Answer 2

Treat a client who has pesticide exposure to prevent complications.

Question 3

Which of the following conditions of the rural environment provides increased opportunities for teaching?

A)Increased interaction among residents due to neighbors visiting neighbors on the family farms
B)Involvement in rural community activities provides more contact with community residents than in urban areas
C)Nursing responsibilities in these areas stress the importance of primary, secondary, and tertiary prevention
D)Increased illnesses and injuries of rural residents require that they see nurses more often

Answer 3

Involvement in rural community activities provides more contact with community residents than in urban areas

Question 4

Which of the following is the most accurate description of a migrant farmworker?

A)A person who does farm work as the primary means of employment, although other work may be done when the seasonal work ends
B)A person who immigrates to the United States to "follow the crops" in performing seasonal farm work
C)A person who moves from place to place to earn money performing seasonal agricultural work
D)A person who specializes in the development of rural land for the purpose of farming

Question 5

A Mexican immigrant mother tells the nurse she is concerned that people in the community will give her daughter mal de ojo. To which of the following folk illnesses is the nurse referring?

A)Evil eye
B)Fallen fontanel
C)Soul loss
D)Indigestion

Question 6

A migrant farmworker has been injured while working on the farm. Which of the following would provide assistance to care for this injury?

A)Emergency department for immediate care
B)Migrant Health Act clinics
C)OSHA, because the man was injured by farm machinery
D)Workers' Compensation, because injury was at work

Question 7

A nurse is working with Mexican immigrants. Which of the following behaviors would most likely lead to a positive interaction for the nurse?

A)Avoiding touching the client except when necessary as part of the physical examination
B)Calling the client by name, socializing before addressing the problem, and being very respectful
C)Keeping all interactions direct, to the point, and targeted on the reason for presentation
D)Maintaining a non-confrontational relationship by avoiding any disagreement even if the nurse does disagree with what the client is saying

Question 8

A nurse is caring for Mexican migrant farmworkers. Which of the following conditions are of greatest importance for the nurse to assess? (Select all that apply.)

A)Cholera
B)Hepatitis
C)High blood level of lead
D)Malaria

Question 9

A migrant farmworker presents to the clinic reporting an acute onset of severe abdominal pain, nausea, vomiting, diarrhea, and headache with difficulty concentrating. Which of the following conditions would cause such symptoms?

A)Appendicitis
B)Bacterial gastroenteritis
C)Pesticide poisoning
D)Viral illness

Question 10

Which of the following best describes why health professionals would be particularly concerned about the health needs of residents in rural areas? (Select all that apply.)

A)About 25% of all U.S. residents live in rural settings.
B)People in rural areas are especially susceptible to acute illnesses rather than chronic diseases.
C)Diagnoses in rural areas are usually for physical injuries, not mental health concerns.
D)A high prevalence of poverty exists among rural families.

Question 11

A nurse is caring for a migrant farm worker who has been working in the agricultural industry for the past 10 years. When questioned about environmental hazards, the client reports regular exposure to pesticides. Which of the following disorders is the client most at risk to develop?

A)Cancer
B)Memory loss
C)Skin rashes
D)Headaches

Question 12

A migrant farmworker brings his daughter into the clinic with severe heat stroke from being out in the sun. The nurse explains the danger signs and stresses staying cool and drinking lots of water. The man seems to know this already. Which of the following best describes the most likely reason that this happened?

A)It was a rare occurrence, which probably won't be repeated.
B)The daughter either disobeyed her father and went out to play in the sun or just did not realize how hot she was.
C)Children may work on small farms because the family may need the additional income.
D)The parents were busy working and didn't realize the child was outside so long.

Question 13

Which of the following best describes a health professional shortage area (HPSA)?

A)An area with inadequate health care facilities for residents
B)An isolated area of underserved populations within an urban region
C)A region with insufficient numbers of health care providers
D)A rural region of the United States with a population density of less than 10,000

Question 14

A nurse's family has moved to a rural area to be near her spouse's aging parents. Which of the following would the nurse most likely notice about the family's new environment? (Select all that apply.)

A)It is very difficult to obtain continuing education, except for online programs.
B)Neighbors seem to expect the nurse to know everything about all health care and illness conditions.
C)Neighbors ask questions about health concerns any time they see the nurse, regardless of where they are.
D)People come to the health clinic before their situation becomes relatively serious.

Question 15

A resident in a rural community has been diagnosed with asthma. Which of the following providers will most likely provide care to this client?

A)Advanced nurse practitioner
B)Allergist
C)Pediatrician
D)Pulmonologist

Question 16

A nurse tells her nursing supervisor that her family is moving from the urban area where they both live to a rural area to be near her spouse's parents, who are becoming less independent. Which of the following suggestions would the nursing supervisor provide to the nurse? (Select all that apply.)

A)"Community members will probably hold you in higher regard and will look up to you."
B)"Expect to have less autonomy in a small town than you have working as a nurse in a medical center."
C)"You may feel like an isolated outsider, because the community may not immediately accept you."
D)"You will have to be very sensitive about the differences in the rural lifestyle."

Question 17

In addition to those barriers faced by many residents in rural areas, what additional barrier to health care is a Hispanic migrant farmworker likely to encounter?

A)Absence of culturally competent care
B)Availability of specialists
C)Distance of health care facilities from the place of residence
D)High cost of health care